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4.
Clin Exp Rheumatol ; 25(3): 461-3, 2007.
Article in English | MEDLINE | ID: mdl-17631746

ABSTRACT

Simultaneous bilateral patellar tendon ruptures are a rare complication of rheumatoid arthritis (RA). Systemic inflammatory diseases (RA, systemic lupus erythematosus (SLE), chronic renal failure, primary and secondary hyperparathyroidism, diabetes mellitus, obesity, sports activity, older age (>50) and drugs (prolonged use of high doses of steroids, local steroid injections and quinolones) are considered as potent predisposing factors for tendon rupture. We report a case of an alcoholic patient with RA and bilateral spontaneous tendon ruptures of the knees. Circumstantial evidence suggest that in this patient, chronic alcohol consumption, a very frequent cause of toxicity to striated and cardiac muscle, contributed to the injury.


Subject(s)
Alcoholism/complications , Arthritis, Rheumatoid/complications , Tendon Injuries/etiology , Disease Susceptibility , Humans , Magnetic Resonance Imaging , Male , Middle Aged , Patellar Ligament/injuries , Rupture, Spontaneous/etiology , Tendon Injuries/diagnosis , Tendon Injuries/pathology
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